Graduate Admissions
Graduate Parking Registration Form

Please complete all of the following information.
 

Full Name: Last:    First:      Middle Initial:
Full Home Address:
City:      State:      Zip Code:
Classification: Undergraduate Student  Graduate Student  Faculty
  Hair Color: Eye Color: Birthday:
Sex: Male Female

Vehicle Information:
License Plate Number:   State:   Tag Expiration:
Driver's License Number:   State:   Expiration:
Vehicle Type:   Make:   Model:   Color:
Registered Owner:   Relationship:

By clicking the "submit" button below, you certify the above information to be true and correct and agree to abide by the parking regulations of Queens University of Charlotte.